This provider's $14.5M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2018 | $21.4K | $9.3K | 2.29x | $12.1K | $2.3M | 264 | 264 |
| 2019 | $19.6K | $9.2K | 2.14x | $10.4K | $2.1M | 224 | 224 |
| 2020 | $21.1K | $9.3K | 2.27x | $11.8K | $2.9M | 266 | 266 |
| 2021 | $16.9K | $8.2K | 2.07x | $8.8K | $2.3M | 219 | 218 |
| 2022 | $21.5K | $10.4K | 2.07x | $11.1K | $2.4M | 232 | 231 |
| 2023 | $16.5K | $7.7K | 2.15x | $8.8K | $2.4M | 294 | 288 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 240 | $6.1M | $25.2K | 1.96x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 551 | $4.2M | $7.6K | 2.36x |
| 33285 | Insertion of heart rhythm monitor under skin | 212 | $1.4M | $6.6K | 1.99x |
| 33228 | Removal and replacement of dual lead permanent pacemaker pulse generator | 127 | $929.1K | $7.3K | 2.70x |
| 37221 | Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure | 97 | $432.7K | $4.5K | 2.29x |
| 37227 | Removal of plaque and insertion of stents in arteries of leg | 36 | $396.7K | $11.0K | 1.76x |
| 33282 | Implantation patient-activated heart monitoring device | 62 | $385.2K | $6.2K | 2.11x |
| 33264 | Removal and replacement of defibrillator pulse generator | 11 | $281.8K | $25.6K | 2.67x |
| 33207 | Insertion or replacement of permanent pacemaker and lower chamber electrodes | 28 | $213.0K | $7.6K | 2.30x |
| 33233 | Removal of permanent pacemaker pulse generator | 25 | $133.4K | $5.3K | 1.59x |
| 33235 | Removal of electrodes from right heart | 13 | $24.3K | $1.9K | 1.82x |
| 33215 | Repositioning of pacemaker or defibrillator electrode | 18 | $21.0K | $1.2K | 2.41x |
| 33286 | Removal of heart rhythm monitor from under skin | 64 | $19.1K | $299.14 | 2.14x |
| 33284 | Removal of implantable patient-activated heart monitoring device | 15 | $4.3K | $289.51 | 2.62x |
This provider submits charges 2.15 times higher than what Medicare actually pays.
A markup ratio of 2.15x means for every $100 Medicare pays, this provider initially charges $215. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Ambulatory Surgical Center providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Specialty Surgical Center, Llc | Beverly Hills, CA | $49.2M | ✓ Clear |
| Santa Rosa Surgery Center L P | Santa Rosa, CA | $41.3M | ✓ Clear |
| Peninsula Eye Surgery Center Llc | Mountain View, CA | $37.0M | ✓ Clear |
| Fort Sutter Surgery Center A California Limited Partnership | Sacramento, CA | $33.6M | ✓ Clear |
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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